Organization
GAHCR II EFFINGHAM ALF TRS SUB, LLC
Active
Other names
The Glenwood of Effingham
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PROSKY (PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
14061 E 1600TH AVE, EFFINGHAM, IL 62401-6721
(217) 347-8880
(217) 347-8870
Mailing address
14061 E 1600TH AVE, EFFINGHAM, IL 62401-6721
(217) 347-8880
(217) 347-8870
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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